Diabetes Smart Survey

1. Please take a few moments to let us know your views on Diabetes Smart

Your views are important as we hope to improve/add to the learning modules depending on your feedback

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* 1. Please indicate the level of agreement with the following statement?

	Strongly Agree	Agree	Neither agree or disagree	Disagree	Strongly disagree
The information in the lessons were relevant to me	The information in the lessons were relevant to me Strongly Agree	The information in the lessons were relevant to me Agree	The information in the lessons were relevant to me Neither agree or disagree	The information in the lessons were relevant to me Disagree	The information in the lessons were relevant to me Strongly disagree

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* 2. Please indicate the level of agreement with the following statement?

	Strongly Agree	Agree	Neither agree or disagree	Disagree	Strongly disagree
I learned something new while completing the Diabetes Smart Programme	I learned something new while completing the Diabetes Smart Programme Strongly Agree	I learned something new while completing the Diabetes Smart Programme Agree	I learned something new while completing the Diabetes Smart Programme Neither agree or disagree	I learned something new while completing the Diabetes Smart Programme Disagree	I learned something new while completing the Diabetes Smart Programme Strongly disagree

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* 3. Please indicate the level of agreement with the following statement?

	Strongly Agree	Agree	Neither agree or disagree	Disagree	Strongly disagree
I believe I am more equipped to manage my diabetes from the knowledge gained by completing Diabetes Smart	I believe I am more equipped to manage my diabetes from the knowledge gained by completing Diabetes Smart Strongly Agree	I believe I am more equipped to manage my diabetes from the knowledge gained by completing Diabetes Smart Agree	I believe I am more equipped to manage my diabetes from the knowledge gained by completing Diabetes Smart Neither agree or disagree	I believe I am more equipped to manage my diabetes from the knowledge gained by completing Diabetes Smart Disagree	I believe I am more equipped to manage my diabetes from the knowledge gained by completing Diabetes Smart Strongly disagree

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* 4. Please indicate the level of agreement with the following statement?

	Strongly Agree	Agree	Neither agree or disagree	Disagree	Strongly disagree
I would recommend Diabetes Smart to someone diagnosed with Diabetes	I would recommend Diabetes Smart to someone diagnosed with Diabetes Strongly Agree	I would recommend Diabetes Smart to someone diagnosed with Diabetes Agree	I would recommend Diabetes Smart to someone diagnosed with Diabetes Neither agree or disagree	I would recommend Diabetes Smart to someone diagnosed with Diabetes Disagree	I would recommend Diabetes Smart to someone diagnosed with Diabetes Strongly disagree

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* 5. If you ticked disagree or strongly disagree with any of the above statements can you please share with us why?

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* 6. I can see myself setting some new goals to manage my diabetes after doing this programme?

Agree

Disagree

If you selected agree, what would be your first goal?

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* 7. Please indicate how useful or least useful this section was for you?

	Very useful	Useful	Not useful
What is Diabetes?	What is Diabetes? Very useful	What is Diabetes? Useful	What is Diabetes? Not useful

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* 8. Please indicate how useful or least useful this section was for you?

	Very useful	Useful	Not useful
Getting Active	Getting Active Very useful	Getting Active Useful	Getting Active Not useful

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* 9. Please indicate how useful or least useful this section was for you?

	Very useful	Useful	Not useful
Understanding blood glucose levels	Understanding blood glucose levels Very useful	Understanding blood glucose levels Useful	Understanding blood glucose levels Not useful

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* 10. Please indicate how useful or least useful this section was for you?

	Very useful	Useful	Not useful
Diabetes and Illness	Diabetes and Illness Very useful	Diabetes and Illness Useful	Diabetes and Illness Not useful

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* 11. Please indicate how useful or least useful this section was for you?

	Very useful	Useful	Not useful
Potential diabetes complications: Screening and Prevention	Potential diabetes complications: Screening and Prevention Very useful	Potential diabetes complications: Screening and Prevention Useful	Potential diabetes complications: Screening and Prevention Not useful

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* 12. If you answered not useful for any of these questions above could you please share why?

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* 13. Is there anything missing from Diabetes Smart?

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* 14. Diabetes Smart is one way that Diabetes Ireland supports you. Would you consider joining the charity as a member to support us to do more work like this? Membership costs between €30-€45 annually. Will you join?

Yes

No

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* 15. Now you have completed Diabetes Smart would you like to sign up for CODE, our free group education course facilitated by a Diabetes nurse or dietitian which is held virtually?
For more information of how to sign up for CODE, please visit: www.diabetes.ie

Yes

No